Culture and Cancer Literacy among Immigrant Women

移民妇女的文化和癌症素养

• 批准号: 7113186
• 负责人: LYDIA P BUKI
• 金额: $ 6.89万
• 依托单位: UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-18 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7113186
• 关键词: Culture; Cancer; Literacy; among; Immigrant

Health literacy has emerged as an important construct because its four components, cultural and conceptual knowledge, listening and speaking (oral literacy), writing and reading (print literacy) and numeracy affect the health outcomes of individuals. Yet, there is no consensus about the most appropriate way to measure health literacy. The two most widely used health literacy measures, REALM and TOFHLA, have been in used with immigrant populations to measure print literacy (REALM and TOFHLA) and numeracy (TOFHLA), only two of the four health literacy components. Cultural and conceptual knowledge and oral literacy are not measured, limiting our ability to comprehensively assess health literacy across populations that are at most risk for low health literacy. Therefore, the current study is the first step in a long-term research agenda designed to address these methodological shortcomings. We propose to develop a comprehensive method for assessment of cultural and conceptual cancer knowledge that can be used with immigrant, older, and low SES, low literate populations. Moreover, we envision that this assessment will allow for the measurement of cultural and conceptual elements that are common and specific across immigrant populations. The two populations we will study are (a) immigrant Mexican women in the state of Illinois, and (b) immigrant Guamanian/Chamorro women in the state of Hawaii. Although we hope to extend this work to other health conditions, in this exploratory study we focus upon development and testing of health literacy assessment measures in the context of breast and cervical cancer knowledge and beliefs. We also propose to contribute to the larger literature by providing a model for the use of mixed methodologies to develop a sound health literacy assessment method. First, we will seek to understand the experiences of immigrant Mexican and Chamorro women with low health literacy. Second, with input from experts and community women, we will determine the adequacy of items to be included in a new measure. Third, we will obtain feedback from immigrant women to evaluate and revise the items, and narrow the set of items to create an empirically-based measure to assess cultural and conceptual knowledge for each group; this measure will incorporate common and specific knowledge elements for each population. Psychometrics will be obtained in a future R01.

健康素养已经成为一种重要的结构，因为它的四个组成部分，文化和概念知识，听力和说话（口头素养），写作和阅读（印刷素养）和算术影响了个人的健康成果。但是，关于衡量健康素养的最合适方法尚无共识。使用的两种最广泛使用的健康素养措施是领域和TOFHLA，已与移民人群一起使用，以测量印刷素养（Realm and Tofhla）和算术（TOFHLA）（TOFHLA），这是四种健康素养组成部分中的两个。没有衡量文化和概念知识和口头素养，这限制了我们对低健康素养风险的人群进行全面评估健康素养的能力。因此，当前的研究是旨在解决这些方法论缺点的长期研究议程的第一步。我们建议开发一种评估文化和概念性癌症知识的综合方法，该方法可以与移民，老年人和低知识分子，低识字人群一起使用。此外，我们设想这项评估将允许衡量在移民人群中常见和特定的文化和概念因素。我们将研究的两个人口是（a）伊利诺伊州移民墨西哥妇女，以及（b）夏威夷州的移民鸟类/夏莫罗妇女。尽管我们希望将这项工作扩展到其他健康状况，但在这项探索性研究中，我们重点是在乳腺癌和宫颈癌知识和信念的背景下开发和测试健康素养评估措施。我们还建议通过提供使用混合方法来开发合理健康素养评估方法的模型来为更大的文献做出贡献。首先，我们将寻求了解健康素养较低的墨西哥移民和Chamorro妇女的经历。其次，有了专家和社区妇女的意见，我们将确定要包含在新措施中的项目的适当性。第三，我们将从移民妇女那里获得评估和修改项目的反馈，并缩小项目集，以创建基于经验的措施，以评估每个群体的文化和概念知识；该措施将为每个人群纳入共同和特定的知识要素。心理计量学将在未来的R01中获得。